Individual provider Active NPI

Katherine A Hinic, RN, APRN

  • Adult Health Nurse Practitioner
  • Wayne, NJ
National Provider Identifier
1194030882
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00085800 Issued in NJ
Practice address
300 Pompton Rd
Wpu Health & Wellness Center Overlook South
Wayne, NJ 07470-2103
Phone
(973) 720-2360
Fax
(973) 720-2632
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00085800 NJ Primary

Addresses

Primary practice location

300 Pompton Rd
Wpu Health & Wellness Center Overlook South
Wayne, NJ 07470-2103

Mailing address

300 Pompton Rd
Wpu Health & Wellness Center Overlook South
Wayne, NJ 07470-2103
Phone (973) 720-2360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00085800NJMDAdult Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1194030882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 POMPTON RD",
            "address_2": "WPU HEALTH & WELLNESS CENTER OVERLOOK SOUTH",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702103",
            "telephone_number": "973-720-2360",
            "fax_number": "973-720-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 POMPTON RD",
            "address_2": "WPU HEALTH & WELLNESS CENTER OVERLOOK SOUTH",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702103",
            "telephone_number": "973-720-2360",
            "fax_number": "973-720-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINIC",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "RN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00085800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.